| NPI | 1063860351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10271) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2024-05-04 |